Active NPI
Richard Wilson, O.T.
- Occupational Therapist
- Hyattsville, MD
National Provider Identifier
1992792949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 02297
- Practice address
- 3311 Toledo Terrace
A-1
Hyattsville, MD 20782 - Phone
- (301) 853-0093
- Fax
- (301) 853-0096
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 02297 | MD | Primary |
Addresses
Primary practice location
3311 Toledo Terrace
A-1
Hyattsville, MD 20782
Mailing address
3311 Toledo Terrace
A-1
Hyattsville, MD 20782
Phone (301) 853-0093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992792949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 TOLEDO TERRACE",
"address_2": "A-1",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "20782",
"telephone_number": "301-853-0093",
"fax_number": "301-853-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 TOLEDO TERRACE",
"address_2": "A-1",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "20782",
"telephone_number": "301-853-0093",
"fax_number": "301-853-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "02297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.